We all had the experience of walking into the doctor’s office and someone tells you to fill out a form. It seems to happen at every single visit. Digitalizing patient information can help by cutting down on paper documents stored by the hospital and the ease at which patient information can be brought up. The federal government has been offering incentives for physicians and hospitals that go digital. Many hospitals have digitalized a portion of their documents but newer and upgraded systems are necessary for hospitals to qualify for federal incentives. Also, there is hesitation by the physicians themselves. One physician, Plotsky, claims that the switch costs too much even with the federal incentives. He also does not know which system to chose, how to install it and how to transition into digitalized information. Since many feel this way, the switch to paperless has been slow. Though the federal government has offered incentives, it is also sending mixed messages. Approximately fifty thousand physicians and nurses are eligible for the federal incentives that were part of the 2009 economic stimulus package. There are two bills that proposed those payments be made out by the unused stimulus money but this is likely to be shot down by the Democrats and President Obama. This mixed message from the federal government is adding to the hesitation to go paperless.
One other concern is how whether it is safe to go paperless. Putting patient information onto a computer system puts it at risk of hacking. Doctors looking for cash incentives are suppose to use data systems that are able to be encrypted. But the federal government does not have a clear requirement and there is no way to differential between the physicians that do and do not use systems that are able to be encrypted.
At the moment, the federal government does not seem clear on what they want physicians, nurses and hospitals to do. Obviously they are fore going digital but they need to set clear guidelines and set a standard for physicians and hospitals to follow. The benefits may exceed the costs but it is not apparent. I feel that the federal government should not be pressuring physicians and hospitals to go paperless when they can only offer incentives and no clear and helpful guidelines to make the switch. What do you think?









Well, this is certainly inspiring... and funny. 59 year old Ian Clarke, a physician from Ireland who lives in Uganda, has decided to take a leap from a local hospital he runs to the murky and messed up world of Ugandian politics. This dual citizenship holder is running for chairman of the Katwe slum, and many of his to-be constituents are confident that he will win. This man, who is portrayed like Rambo in posters across Uganda's capital Kampala with the phrase "Londa mzungu" -vote for the white guy- , is far from the typical Ugandian politician. He has devoted 30+ years to providing low cost health care and basic amenities for the poorest of an already very poor country. While he adds to using the "development and progress" image in his campaign, citizens across the neighborhood idolize him because they see him as an outsider who truly cares for them unlike typical politicians who only care to spend state money on their lavish lifestyles. While the traditional distrust for whites that is commonly present in Africa doesn't exist in Uganda -- the nation was declared a protectorate so few settlers came-- Clarke is not without opposition. Local Ugandian elections are very dirty as incumbents spend millions of dollars to win votes and hire gangs to stuff ballots. And Clarke also had to play in the goodie game by giving new walls, paved roads, etc. though he gave much less than common. Ballot stuffing and playing the race card are the biggest problems for Clarke as he runs for office. Oddly enough, he is a bit concerned about the "White Monkey" stereotype, one that was oddly created by the movie "The Last King of Scotland". The dictator of Uganda had hired a Scottish physician to be his personal assistant as he went about his corrupt regime. I wish Clarke the best of luck in his upcoming election.